The effect of smoking on health-related quality of life in lung cancer patients: a systematic review

Rowland, Christine; Eiser, Christine; Rowe, Richard; Danson, Sarah

doi:10.1136/bmjspcare-2011-000186

Cited by 20 publications

(17 citation statements)

References 43 publications

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“…Smoking is an established risk factor for cardiorespiratory disease and a number of cancers 1 , including leukemia 2 and cancers of the urogenital system 3 . Continued smoking in cancer patients has been associated with negative outcomes, including increased chances of a second malignancy 4 , reduced quality of life 5 , poor treatment response 6 , and increased mortality 7 . More recently, greater physical activity (pa) in cancer survivors has been linked to improved survival 8 and quality of life 9 and to less fatigue 10 ; it has also been described as both safe and beneficial during and after cancer treatment 11 .…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Status and Lifestyle Behaviours in Cancer Survivors: Smoking and Physical Activity

et al. 2016

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Purpose Smoking cessation and increased physical activity (pa) have been linked to better outcomes in cancer survivors. We assessed whether socioeconomic factors influence changes in those behaviours after a cancer diagnosis. MethodsAs part of a cross-sectional study, a diverse group of cancer survivors at the Princess Margaret Cancer Centre (Toronto, ON), completed a questionnaire about past and current lifestyle behaviours and perceptions about the importance of those behaviours with respect to their health. The influence of socioeconomic indicators on smoking status and physical inactivity at 1 year before and after diagnosis were assessed using multivariable logistic regression with adjustment for clinico-demographic factors. ResultsOf 1222 participants, 1192 completed the smoking component. Of those respondents, 15% smoked before diagnosis, and 43% of those smokers continued to smoke after. The proportion of survivors who continued to smoke increased with lower education level (p = 0.03). Of the 1106 participants answering pa questions, 39% reported being physically inactive before diagnosis, of whom 82% remained inactive afterward. Survivors with a lower education level were most likely to remain inactive after diagnosis (p = 0.003). Lower education level, household income, and occupation were associated with the perception that pa had no effect or could worsen fatigue and quality of life (p ≤ 0.0001).Conclusions In cancer survivors, education level was a major modifier of smoking and pa behaviours. Lower socioeconomic status was associated with incorrect perceptions about pa. Targeting at-risk survivors by education level should be evaluated as a strategy in cancer survivorship programs.

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Section: Introductionmentioning

confidence: 99%

Socioeconomic Status and Lifestyle Behaviours in Cancer Survivors: Smoking and Physical Activity

et al. 2016

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“…Although smoking cessation might be expected to improve HRQoL in lung cancer patients, research is limited7 8 or highlights physical symptoms reported in terms of HRQoL 9. There is, to date, little definitive evidence regarding an association between smoking and HRQoL10 11 and research has often focused on long-term survivors of lung cancer 10. Given the importance of HRQoL to lung cancer patients who face a heavy symptom burden and limited survival, it is vital to understand the factors that can compromise HRQoL in the months following diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Quality of life, support and smoking in advanced lung cancer patients: a qualitative study

Rowland

Danson

Rowe

et al. 2014

BMJ Support Palliat Care

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“…A systematic review of seven studies and one abstract from 1995-2010 examined the effect of smoking on HRQOL in patients with lung cancer (Rowland, Eiser, Rowe, & Danson, 2012). Fewer studies have examined the effect of smoking on the HRQOL of family members.…”

Section: Smoking and Lung Cancermentioning

confidence: 99%

“…Fewer studies have examined the effect of smoking on the HRQOL of family members. Since the Rowland et al (2012) review, additional studies with significant findings have been published and will be included in this review. Three studies showed that smokers reported significantly impaired HRQOL compared with patients who never smoked or quit smoking (Browning, Ferketich, Otterson, Reynolds, & Wewers, 2009;Garces et al, 2004Garces et al, , 2009).…”

Section: Smoking and Lung Cancermentioning

confidence: 99%

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Emerging Issues on the Impact of Smoking on Health-Related Quality of Life in Patients With Lung Cancer and Their Families

McDonnell¹,

Bullock²,

Hollen³

et al. 2014

Clinical Journal of Oncology Nursing

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Compelling evidence exists that continued smoking after a diagnosis of lung cancer adversely affects treatment effectiveness, survival, risk of recurrence, second malignancy, and health-related quality of life (HRQOL). The importance of HRQOL to patients with cancer and their families has been well documented. Because of increasing evidence of the benefits of smoking cessation, more research has focused on the impact of smoking on HRQOL. Smoking is a behavior that clusters in families; patients who smoke are likely to have family members who smoke, and together they experience impaired HRQOL. This article describes the evidence regarding HRQOL measurement in individuals diagnosed with lung cancer and their family members who smoke and explores the implications for nursing practice. Oncology nurses are in a critical position to advocate for the integration of HRQOL assessment into clinical settings, monitor patient and family member smoking status and environmental tobacco smoke exposure, and support development of smoking cessation interventions to enhance HRQOL.

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The effect of smoking on health-related quality of life in lung cancer patients: a systematic review

Cited by 20 publications

References 43 publications

Socioeconomic Status and Lifestyle Behaviours in Cancer Survivors: Smoking and Physical Activity

Socioeconomic Status and Lifestyle Behaviours in Cancer Survivors: Smoking and Physical Activity

Quality of life, support and smoking in advanced lung cancer patients: a qualitative study

Emerging Issues on the Impact of Smoking on Health-Related Quality of Life in Patients With Lung Cancer and Their Families

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